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Oregon rates for HCPCS 42894

Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,750.10 / $5,253.75 / $7,920.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,664.70 / $1,664.70 / $1,664.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,764.28 / $4,942.84 / $6,115.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,379.98 / $4,243.28 / $6,684.68
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,968.77 / $4,538.58 / $4,734.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,410.94 / $4,773.45 / $6,684.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,430.60 / $12,430.60 / $12,430.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.00 / $7,664.00 / $31,303.00